Provider Demographics
NPI:1811906803
Name:HUGHES, DARREN PRESTON (PA-C)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:PRESTON
Last Name:HUGHES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 WALNUT HILL LN
Mailing Address - Street 2:STE 130, LB 11
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4405
Mailing Address - Country:US
Mailing Address - Phone:214-750-1207
Mailing Address - Fax:214-739-5029
Practice Address - Street 1:8210 WALNUT HILL LN
Practice Address - Street 2:STE 130, LB 11
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4405
Practice Address - Country:US
Practice Address - Phone:214-750-1207
Practice Address - Fax:214-739-5029
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02866363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85N520OtherBCBS
TX103396101Medicaid
TX103396102Medicaid
TX85N519OtherBCBS
TX85N519Medicare PIN
TX85N519OtherBCBS
P21219Medicare UPIN
TX970017231Medicare PIN
TX103396101Medicaid